Ethical Considerations And Multicultural Concerns In Caseload . - KTDRR

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Ethical Considerations andMulticultural Concerns in CaseloadManagementPart 2 of Effective Caseload ManagementWebcast SeriesChristina Dillahunt-Aspillaga, PhD, CRC, Assistant Professor,Department of Child and Family Studies, Rehabilitation andMental Health Counseling program, University of South Florida,TampaCopyright 2016 American Institutes for Research (AIR). All rights reserved. No part of this presentation may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy,recording, or any information storage and retrieval system, without permission in writing from AIR. Submit copyright permissions requests to the AIR Publications Copyright and Permissions Help Deskat copyright PS@air.org. Users may need to secure additional permissions from copyright holders whose work AIR included after obtaining permission as noted to reproduce or adapt materials for this presentation.

PresenterChristina Dillahunt-Aspillaga, PhD, CRC, Assistant Professor,Department of Child and Family Studies, Rehabilitation andMental Health Counseling program, University of South Florida,Tampa.2

Codes of Ethics Many professional organizations follow discipline specificcodes of ethics. For example, Commission of Rehabilitation CounselorCertification (CRCC) has a Code of Professional Ethics–Standards assure the community that rehabilitationcounselors accepts responsibility to provide service toindividuals with disabilities–New version CRCC CodeEff 20170101.pdf3

Codes of Ethics Other codes of ethics include–American Counseling Association e-ofethics.pdf–Certification of Disability Management es/CDMS Code of Professional Conduct.pdf–International Association of Rehabilitation Professionals(IARP): https://www.rehabpro.org/standards4

CRCC Code of Ethics Preamble Rehabilitation counselors are committed to facilitating thepersonal, social, and economic independence of individualswith disabilities. In fulfilling this commitment, rehabilitation counselorsrecognize diversity and embrace a cultural approach insupport of the worth, dignity, potential, and uniqueness ofindividuals with disabilities within their social and culturalcontext. They look to professional values as an important way ofliving out an ethical commitment.5

Six PrinciplesThe Code is written is based upon six principles of ethical behavior:1. Autonomy: To respect the rights of clients to be selfgoverning within their social and cultural framework.2. Beneficence: To do good to others; to promote the wellbeing of clients.3. Fidelity: To be faithful; to keep promises and honor thetrust placed in rehabilitation counselors.4. Justice: To be fair in the treatment of all clients; to provideappropriate services to all.5. Nonmaleficence: To do no harm to others.6. Veracity: To be honest.6

Key Components of CRCC Code of Ethics The CounselingRelationship Confidentiality, PrivilegedCommunication, andPrivacy Advocacy and Accessibility ProfessionalResponsibility Relationships with OtherProfessionals Forensic and IndirectServices Evaluation, Assessment,and Interpretation Teaching, Supervision, andTraining Research and Publication Technology and DistanceCounseling Business Practices Resolving Ethical Issues7

Rehabilitation Counselor Commitment toCultural Diversity Counselors are aware that all individuals exist in a variety ofcontexts and understand the influence of these contexts on anindividual’s behavior Counselors are aware of the continuing evolution of the field,changes in society at large, and the different needs of individualsin social, political, historical, environmental and economiccontexts. The commitment involves providing respectful and timelycommunication, taking appropriate action when cultural diversityissues occur, and being accountable for the outcomes as theyaffect people of all races, ethnicities, genders, national origins,religions, sexual orientations, or other cultural group identities.8

Section A: The Counseling RelationshipA.1.B- b. REHABILITATION COUNSELING PLANS. Rehabilitation counselors and clients work together todevelop integrated, individual, mutually agreed-upon,written rehabilitation counseling plans that offer areasonable promise of success and are consistent with theabilities and circumstances of clients. Rehabilitation counselors and clients regularly reviewrehabilitation counseling plans to assess their continuedviability and effectiveness and to revise them as needed.9

Section A: The Counseling RelationshipA.2. RESPECTING DIVERSITY a. RESPECTING CULTURE. Demonstrate respect for thecultural identity of clients in developing and implementingrehabilitation and treatment plans, and providing andadapting interventions. 4 b. NONDISCRIMINATION. Do not condone or engage inthe prejudicial treatment of an individual or group based ontheir actual or perceived membership in a particular group,class, or category.10

Section B- Respecting Client Rights d. CULTURAL DIVERSITY CONSIDERATIONS.Work to develop and maintain awareness of thecultural meanings of confidentiality and privacy.Rehabilitation counselors hold ongoing discussionswith clients as to how, when, and with whominformation is to be shared.11

D.2. Cultural Competence/ Diversity a. CULTURAL COMPETENCY. Develop and maintainknowledge, personal awareness, sensitivity, and skills anddemonstrate a disposition reflective of a culturally competentrehabilitation counselor working with diverse client populations. b. INTERVENTIONS. Develop and adapt interventions andservices to incorporate consideration of cultural perspectives ofclients and recognition of barriers external to clients that mayinterfere with achieving effective rehabilitation outcomes. c. NONDISCRIMINATION. Do not condone or engage in theprejudicial treatment of an individual or group based on theiractual or perceived membership in a particular group, class, orcategory.12

Forensic Rehabilitation Counselor FORENSIC REHABILITATION COUNSELOR:rehabilitation counselors who work in a forensicsetting conducting evaluations and/or reviews ofrecords and conduct research for the purpose ofproviding unbiased and objective expert opinionsvia case consultation or testimony.13

F.3. Forensic Practicesa. CASE ACCEPTANCE AND INDEPENDENTOPINION. Forensic rehabilitation counselors havethe right to accept any referral within their area(s) ofexpertise. They may decline involvement in cases.a. TERMINATION AND ASSIGNMENT TRANSFER. If itis necessary to withdraw from a case after havingbeen retained, forensic rehabilitation counselorsmake reasonable efforts to assist evaluees and/orreferral sources in locating another counselor toaccept the assignment.14

Resolving Ethical IssuesL.1. Knowledge of CRCC standardsRehabilitation counselors are responsible forreading, understanding, and following theCode, & seeking clarification of any standardthat is not understood.15

Resolving Ethical IssuesL.2. Addressing suspected violationsa)Ethical Decision-making models and skillsb)Consultationc) Informal Resolutiond)Reporting Ethical Violationse)Self- Reportingf) Organizational Conflicts16

General Best Practices for Ethical DilemmasHave a copy of your Code on your desk (electronic copy)–Consultation–Document steps taken–Understand the general principles of code ofconduct regarding conflict–Laws and code of conduct conflict–Conflict of interest–Client referral–“Show that you were careful, reasonable, andprudent and that you did the best you could”17

Ethical considerations in Rehabilitation CaseManagement Practice:CM Practices should:–be guided by the CRCC Code of Ethics whenpossible–always take ethical principles into consideration–strive to be culturally competent and sensitivecounselors–when ethical dilemmas are present their resolutionshould be justified via a reasoning process.–when the code fails, ethical reasoning must prevail(e.g. use six-step ethical decision making model foraddressing ethical dilemmas).18

Ethical Decision-Making References Tarvydas, V. (2016). Ethics and Decision Making in Counseling andPsychotherapy. Springer Publishing Company. CRCC Desk Reference on Professional ence-1 Hartley, M. T., & Cartwright, B. Y. (2016). A Survey of Current andProjected Ethical Dilemmas of Rehabilitation Counselors. RehabilitationResearch, Policy, and Education, 30(1), 32-47. Cottone, R. R., & Claus, R. E. (2000). Ethical decision‐making models:A review of the literature. Journal of Counseling & Development, 78(3),275-283.19

Benefit of Practice Guideline in Caseload Management Universal standards for CM practice Help guide and shape rehabilitation plans Helpful in training new and established counselors anddisability managers Help reduce variations in practice, improve consistency Assist with decision-making Provide direction for future research, specifically,highlighting existing practices that are consideredpromising or effective over time that can be replicated,expanded, and evaluated to the point where they may beconsidered evidence based.20

What type of information should be included in guidelines? Outline of important information counselors shouldconsider, discuss, and in include in case managementplans. Evidenced-based framework for case management ofclients with diverse disabilities Foundational information and training on specificmanagement of cases of individuals with complexdisabilities Information on ethical considerations and multiculturalconcerns in case management21

Who should be involved in developing guidelines? CM experts, vocational rehabilitation experts, andsupervisors Ethical decision making experts Interdisciplinary members of the rehabilitation planningteam Clients with disabilities and their families Rehabilitation researchers22

References Commission on Rehabilitation Counselor Certification. (2017). Code ofProfessional Ethics for Rehabilitation Counselors. Schaumburg, IL. /pdf/CRCC Code Eff 20170101.pdf Cottone, R. R., & Claus, R. E. (2000). Ethical decision‐making models: A reviewof the literature. Journal of Counseling & Development, 78(3), 275-283. CRCC Desk Reference on Professional ence-1 Fleming, A. R., Del Valle, R., Kim, M., & Leahy, M. J. (2012). Best practicemodels of effective vocational rehabilitation service delivery in the publicrehabilitation program: A review and synthesis of the empirical literature.Rehabilitation Counseling Bulletin, 0034355212459661. Hartley, M. T., & Cartwright, B. Y. (2016). A Survey of Current and ProjectedEthical Dilemmas of Rehabilitation Counselors. Rehabilitation Research, Policy,and Education, 30(1), 32-47. Tarvydas, V. (2016). Ethics and Decision Making in Counseling andPsychotherapy. Springer Publishing Company.23

Wrapping UpThank you for participating! We invite you to:– Provide your input on today’s webcast– Share your thoughts on future webcasts topics– Participate in the Community of Practice to continue the dialogue PLEASE CONTACT US:ktdrr@air.orgPlease fill out the brief evaluation form:http://bit.ly/2fHHZlM24

DisclaimerThis presentation was developed for grant number90DP0027 from the National Institute on Disability,Independent Living, and Rehabilitation Research(NIDILRR), Administration for Independent Living(ACL), U.S. Department of Health and HumanServices (HHS). However, the contents do notnecessarily represent the policy of the Departmentof HHS, and you should not assume endorsementby the federal government.25

Ethical considerations in Rehabilitation Case Management Practice: CM Practices should: -be guided by the CRCC Code of Ethics when possible -always take ethical principles into consideration -strive to be culturally competent and sensitive counselors -when ethical dilemmas are present their resolution

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